An 8-year-old girl presents with a history of normal vocabulary and grammar skills, but she is unable to use language to share ideas and feelings. Beginning in early childhood, she has been unable to make good eye contact and has difficulty reading social cues. These characteristics have led to difficulty making friends. Her social skills are further complicated by her obsession with light bulbs, which she repetitively draws on virtually any piece of paper she can find. She excessively smells shiny objects that catch her eye. She has rituals for getting dressed that cause significant distress if they are interrupted in any way. All of these symptoms have caused significant impairment in her functioning. What diagnosis best fits her presentation?

A mother is concerned about her 14-year-old daughter, who is not experiencing pubertal changes. Her height is lower than average for age. She is of normal intelligence. Upon assessment, the nurse practitioner notes extra folds of skin on her neck. What treatment is most appropriate?

A 29-year-old man complains of recurrent severe headaches that usually occur in the early morning. Sometimes he is awakened by the headache "like an alarm clock." The pain comes on quickly, within 5-10 minutes, and it lasts 30 to 60 minutes. He describes the pain as excruciating and stabbing. The pain begins at his left nostril and is followed by severe retro-orbital pain. He experiences tearing and nasal stuffiness on the left side of his face. The patient thinks the headaches started when he was given a promotion at work 3 months ago and his stress levels increased. Which of the following is the best course of treatment?

Following a stroke, a 71-year-old woman experiences a cognitive-linguistic disorder. Which of the following is true about expressive aphasia?

A 9-year-old boy is referred to the PMHNP by the school counselor after his parents request help with his behavioral issues. He is in third grade, and although he is doing "fine" academically, he constantly interrupts, fidgets, talks excessively, and gets out of his seat and walks around the classroom. He has friends, but they often get frustrated with him because he talks over them and he wants to play sports nonstop. At home, he can barely stay in his seat to do his homework or eat a meal. He often gets upset with his parents for trying to redirect him to finish his chores or his schoolwork, and they end up sending him to his room. He does show remorse when his behavior is pointed out to him, yet he is unable to inhibit himself. What is the most likely diagnosis?

For a 39-year-old woman with a recent diagnosis of psoriatic arthritis who is treatment-naive with mild disease, which of the following would be considered an appropriate first-line therapy?

A 47-year-old woman presents to the PMHNP with a chief complaint of anxiety. She is the primary caretaker for her 79-year-old mother, who has Alzheimer's disease. Which of the following tools will the nurse practitioner use to assess the client's level of anxiety?

The parents of a 16-year-old adolescent girl come to the PMHNP requesting treatment for her "so-called gender issues." The mother cries while the father says, "She says she has wanted to be a boy ever since she was 4 years old. This is all just nonsense. It's a phase, and the sooner she gets over it, the better." The daughter acknowledges "feeling like a boy" since the age of 4, and she currently binds her breasts. She also wants to be called by a male name. Her father wants to send her to conversion therapy offered by their church. The mother wants to know the PMHNP's opinion. Which of the following is the most appropriate response?

A 29-year-old nurse presents to the PMHNP for evaluation after a traumatic event. Two weeks ago, she was attacked by a patient on the behavioral unit where she works. She says she is having flashbacks about the event and keeps wondering "what could I have done to prevent it?" She has had several panic attacks since the incident, and she is to the point now where she is considering quitting nursing. She says, "I guess I am too weak to be a nurse if I can't handle one attack." What is her most likely diagnosis?

The PMHNP is evaluating an 11-year-old boy with intellectual disabilities, a long face, and large ears. He has midface hypoplasia, hyperextensible joints, and a short stature. She explains to the family that the child has which of the following?

A PMHNP uses the Autism Diagnostic Observation Schedule (ADOS) to aid in the diagnosis of an 8-year-old boy. She asks the parents to leave the room while she conducts the exam. The parents are hesitant to leave their child and want to know why it is important to leave him alone during the exam. What is the PMHNP's most appropriate response?